Office of the Chief Information Officer

United States Department of Agriculture

Approved Computer-Generated Forms

The approved computer generated forms below are available in a variety of formats. Microsoft Word, Adobe PDF, JetForms and InForms can be downloaded.

Please note: You need to have the JetForms Application and/or InForms Application, Microsoft Word or Adobe Acrobat in order to access these forms.

Once you have saved the file to a local drive, open the associated program (Word, Adobe Acrobat, InForms, JetForms) then open the saved file on your local drive.


Prefix Form No. Subject Word PDF
OF 041 Routing and Transmittal Slip WORD  
AD 0059 Request for Manuscript Review   FILL IN PDF
AD 0078 Request for Printing and Binding   FILL IN PDF
AD 0107 Report of Transfer or other Disposition or Construction of Property WORD FILL IN PDF
AD 0110 Detailed Cost Analysis WORD  
AD 0112 Report of Unserviceable, Lost or Damaged Property WORD FILL IN PDF
AD 0116 Clearance & Approval for Departmental Issuances WORD  
AD 0121 Passport Request WORD PDF
AD 0139 Final Salary Payment Report WORD  
AD 0156 External Distribution   PDF
AD 0156A External Distribution - Room 0466 - South Building   FILL IN PDF
AD 0202 Travel Authorization/Advance WORD FILL IN PDF
AD 0202M Travel Authorization/Advance for multiple travelers WORD FILL IN PDF
AD 0202R Travel Authorization/Advance Attachment for Relocation Travel WORD FILL IN PDF
AD 0202RE Travel Authorization/Advance Separate Relocation Allowances WORD FILL IN PDF
AD 0216 Voucher Difference Statement   PDF
AD 0234 Charge Out Card   PDF
AD 0270 Request for Copy/Duplicating Service   FILL IN PDF
AD 0271 Request for Photographic Services   FILL IN PDF
AD 0287 Employee Suggestion WORD PDF
AD 0287-2 Recommendation & Approval of Awards   FILL IN PDF
AD 0311 Speed Memo WORD PDF
AD 0332 Position Description Cover Sheet WORD PDF
AD 0343 Payroll Action Request WORD FILL IN PDF
AD 0349 Employee Address   FILL IN PDF
AD 0354 Request for Information   FILL IN PDF
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AD 0416 Research Work Unit/Project Description-Research Resume   PDF
AD 0417 Research Work Unit/Project Description- Classification of Research   PDF
AD 0419 Research Work Unit/Project Description- Research Funds and Staff Support   PDF
AD 0421 Progress Report   PDF
AD 0424 Reimbursement of Expenses Upon Sale or Purchase of Residence Upon Change of Station   PDF
AD 0435C Senior Executive Service Appraisal Record WORD  
AD 0435E Performance Plan, Progress Review and Appraisal Worksheet for Non-Supervisory Positions   FILL IN PDF
AD 0435S Performance Plan, Progress Review and Appraisal Worksheet for Supervisory Positions   FILL IN PDF
AD 0471 Classified Document Accountability Record   PDF
AD 0474 Transmittal - Telephone and Utilities   FILL IN PDF
AD 0495 Secretary's Honor Awards Instructions and Nomination Form   FILL IN PDF
AD 0507a Probationary or Trial Period Report   PDF
AD 0567 Teleticket Payment Transmittal   PDF
AD 0568 Transmittal-Credit Card-Gasoline   PDF
AD 0569 Expense Record for Temporary Quarters   PDF
AD 0581 Lump-Sum Leave or Compensatory Time Payments WORD FILL IN PDF
AD 0582 Authorization for Restored Annual Leave   PDF
AD 0616 Travel Voucher (Temporary Duty Station)   FILL IN PDF
AD 0616N Travel Voucher (Temporary Duty Travel)   FILL IN PDF
AD 0616R Travel Voucher (Relocation)   FILL IN PDF
AD 0617 Schedule of Expenses   FILL IN PDF
AD 0633 Multi-use Standard Requisitioning   PDF
AD 0652 Request for Creative Services   PDF
AD 0658 Within-Grade Increase Record   PDF
AD 0672 Reimbursement or Advance of Funds Agreement WORD FILL IN PDF
AD 0673 Request to Bill   PDF
AD 0687 Forms Action Request and Notice   PDF
AD 0690 Transmittal Record   PDF
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AD 0700 Procurement Request WORD FILL IN PDF
AD 0717 Audit for Leave WORD PDF
AD 0718 Period End -Estimates   PDF
AD 0728 Request and Authorization for Home to Work Transportation WORD PDF
AD 0734 Request for Candidates WORD PDF
AD 0735 Evaluation of Candidates WORD PDF
AD 0742 Disbursements (Expense) WORD FILL IN PDF
AD 0755 Advisory Committee Membership Background Information

For an alternative format or
having problems with accessibility, email angela.williams@ocio.usda.gov
  FILL IN PDF
AD 0757 Miscellaneous Payment System   PDF
AD 0778 Secretary's Memorandum WORD  
AD 0779 Employee Biographical Sketch WORD PDF
AD 0811 Department Regulation WORD  
AD 0812 Department Manual WORD  
AD 0813 Department Notice WORD  
AD 0834 IRM Technical Approval Request Certification   PDF
AD 0835 IRM System and Service Security Certification   PDF
AD 0838-7 Purchase Order   PDF
AD 0838-B Invoice - Receipt Notification WORD PDF
AD 0838-D BPA - Invoice - Receipt Certification WORD PDF
AD 0838-I Invoice Cover Sheet for IAS Payments (IAS-001) WORD PDF
AD 0873 Property Pass   PDF
AD 0881 Individual Development Plan   FILL IN PDF
AD 0894 Request for Cropland Waiver   PDF
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AD 0952 Organizational Structure Codes Table Number 5   NFC Forms Web Site
AD 0955 GSA Telephone Transmittal   FILL IN PDF
AD 0956 Request for Originating Office Number Action   PDF
AD 67 Request for Prior Clearance of Personnel Action WORD FILL IN PDF
AD 769 Request for Recruitment Action WORD  
AD 1000 Claim for Relocation Income Tax Allowance for the Year   FILL IN PDF
AD 1026A Farming Interest   USDA Service Center eForms
PDF
AD 1026B Highly Erosive Land Conservation Exemption Request   USDA Service Center eForms
PDF
AD 1026C Landlord or Landowner Exemption Request   USDA Service Center eForms
PDF
AD 1026D Relief for Undue Economic Hardship Request Highly Erosive Land Conservation   USDA Service Center eForms
PDF
AD 1026 Highly Erosive Land Conservation (HELC) and Wetland Conservation (WC) Certification   USDA Service Center eForms
PDF
AD 1026 Certification de Conservation de Tierras Altamente Erosionables ("HELC") Y de Plantanos ("WC")   USDA Service Center eForms
PDF
AD 1043 Leave Transfer Program-Donor Application   FILL IN PDF
AD 1046 Leave Transfer Program - Recipient Application   FILL IN PDF
AD 1047 Certification Regarding Debarment, Suspension   FILL IN PDF
AD 1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transactions   FILL IN PDF
AD 1049 Certificate Regarding Drug Free Workplace Requirements Alternative 1   FILL IN PDF
AD 1050 Certificate Regarding Drug Free Workplace Requirements Alternative 2   FILL IN PDF
AD 1052 Certificate Regarding Drug Free Workplace Requirements-State and State Agencies   FILL IN PDF
AD 1068 Good Faith Determination- Highly Erosive Land Activity   PDF
AD 1068A Distribution of Graduated Payment Reduction   PDF
AD 1069 Good Faith Determination- Wetland Activity   PDF
AD 1073 Recommendation and Approval of- Recruitment/ Relocation Bonus or Retention Allowance   PDF
AD 1074 Service Agreement for Receipt of Payment for a Recruitment/ Relocation Bonus   PDF
AD 1083 INS Instructions for Completing Form AD-1083   PDF
AD 1083 Request for Action for Procedures/Reports   PDF
AD 1083A Continuation Sheet for Ordering Procedures   PDF
AD 1086 Applicant Supplemental Sheet WORD  
AD 1095 Accounting/Pay Period Calendar   USDA NFC eForms
PDF
AD 1098 Sick Leave Hours Used for Family Members   PDF
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AD 1101 Approval and Report of Travel Funds Received From Non-federal Sources   PDF
AD 1102 Special Processing Transmittal   PDF
AD 1106-1 Final Clearance Report
(For Kansas City, St. Louis, and Salt Lake City Locales Only)
WORD  
AD 1126 USDA Program Discrimination Complaint   FILL IN PDF
AD 1128 Identification Request for Electronic Downloading of Software from NFC   FILL IN PDF
AD 1130 Doing Business With USDA Kit   USDA Procurement Web Site
AD 1138 Option B and C Election Notice for Retirement   FILL IN PDF
AD 1143 Corporate Systems Access Request Form   FILL IN PDF
AD 1147a Public Transportation Benefit Program Application Side 1 FILL IN
WORD
 
AD 1147b Public Transportation Benefit Program Application Side 2 FILL IN
WORD
 
AD 1148 National Finance Center (NFC) Certificate Action Request Form   NFC Forms Web Site
AD 1149 National Finance Center (NFC) Subscriber Agreement   NFC Forms Web Site
AD 1150 Local Registration Authority (LRA) Agreement   NFC Forms Web Site
AD 1151 Recommendation and Approval of the Repayment of Student Loans(s)   PDF
AD 1152 Service Agreement for a Receipt of Repayment of Student Loan(s)   PDF
AD 1153 Application for Long-Term Contracted Assistance Through the _____ Program   USDA Service Center eForms
PDF
AD 1154 NRCS Long-Term Agreement   USDA Service Center eForms
PDF
AD 1155 Conservation Plan Schedule of Operations   USDA Service Center eForms
PDF
AD 1155A Conservation Plan Schedule of Operations   USDA Service Center eForms
PDF
AD 1156 Revision of Plan or Schedule of Operations or Modification of a Contract   USDA Service Center eForms
PDF
AD 1157 Option Agreement to Purchase   USDA Service Center eForms
PDF
AD 1157A Option Agreement to Purchase
Amendment 1
  USDA Service Center eForms
PDF
AD 1158 Subordination Agreement and Limited Lien Waiver   USDA Service Center eForms
PDF
AD 1159 Notice of Intent to Continue   USDA Service Center eForms
PDF
AD 1160 Compatible Use Authorization   PDF
AD 1161 Application for Payment   PDF
AD 1163 Confirmation of Request for Reasonable Accommodation FILL IN WORD PDF
AD 1164 Reasonable Accommodation Information Reporting Form   PDF
AD 1165 Denial of Reasonable Accommodation Request   PDF
AD 1168 Corporate System Change Request(CR) with Instructions WORD PDF
AD 1170 Transit Subsidy Cash Reimbursement Certification WORD PDF
AD 1173A CD-ROM Request   PDF
AD 1185 Pre-Tax Parking Application WORD  
AD 1190 Farm/Business Assessment   PDF
AD 1197 Request for USDA Identification Badge   FILL IN PDF
  1202 USDA Confidential Conflict of Interest Certification WORD  
AD 1203 Office of Civil Rights Accountability Case Record WORD  
AD 1204 Agency/Staff Office Case Report WORD  
AD 1205 USDA Small Business Program - Procurement Request Review

WORD

 
AD 1208 Senior Leadership Potential Assessment WORD  
AD 1209 Enterprise Content Management (ECM) Security Request WORD  
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AD 2000A Opportunity to Improve (OTI)   PDF
AD 2000 Performance Plan Agreement and Appraisal   PDF
AD 2001 Designation of Tour of Duty   PDF
AD 2002 Time and Attendance Record   PDF
AD 2003 Spouse Consent to Survivor Election   FILL IN PDF
AD 2005 Executive Potential Program Nomination Form   FILL IN PDF
AD 2008 Executive Leadership Program for Mid-Level Employees Nomination Form   FILL IN PDF
AD 2009 Cross Cultural Exchange Program (CCEP) Application   FILL IN PDF
AD 2010 Federal Executive Institute (FEI) Nomination Form   FILL IN PDF
AD 2014 New Leader Program (NLP) Nomination Form   FILL IN PDF
AD 2015 USDA Congressional Fellowship Program Nomination Form   FILL IN PDF
AD 2017 Service Center Information Management System (SCIMS) Access Form   FILL IN PDF
AD 2021 Aspiring Leader Program (ALP) Nomination Form   FILL IN PDF
AD 2022 Student Volunteer Agreement WORD  
AD 3001 Documentary Materials Removal/Non-removal Certification and Non-disclosure Agreement WORD  
AD 3002 Separation Checklist for Non-Career Appointees
(rev 12-08)
WORD  
AD 3006 POST-1956 Military Service Deposit Checklist   FILL IN PDF
AD 3010 Senior Executive Service Performance Plan and Appraisal Record WORD  
AD 3018 Telework Agreement   FILL IN PDF
AD 3020 Supervisor Onboard Checklist WORD  
AD 3022 New Media Request Form WORD  
AD 3025 USDA 1890 National Scholars Program Application for High School Students   PDF
AD 3026 USDA 1890 National Scholars Program Application for College Students   PDF
AD 3027 USDA Program Discrimination Complaint Form   PDF
AD 3027S USDA Program Discrimination Complaint Form
(Spanish Language Version)
  PDF
AD 3030 Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants WORD  
AD 3031 Assurance Regarding Felony Conviction or Tax Delinquent Status for Corporate Applicants WORD  
AD 3030-FS Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants - Forest Service WORD  
AD 3031-FS Assurance Regarding Felony Conviction or Tax Delinquent Status for Corporate Applicants - Forest Service WORD  
AD 3038 Cyber Security PII Incident Report Form WORD  
AD 3040 Request for Exception to
DR 1430-002
WORD  
IAS 001 Invoice Cover Sheet for IAS Payments WORD FILL IN PDF
AD 3041 Waiver/Cancellation Request   PDF
AD 3042 INSIGHT Access Request Form   PDF
AD 3043 Incident Identification Form WORD  
AD 3044 Cyber Security Incident Report PII Cat 1 and Cat 8 WORD  
AD 3045 Cyber Security Incident Report CAT 1 (Unauthorized Access) WORD  
AD 3046 Cyber Security Incident Report CAT 2 (Denial of Service) WORD  
AD 3047 Cyber Security Incident Report CAT 3 (Malicious Code) WORD  
AD 3048 Cyber Security Incident Report CAT 4 (Improper Usage) WORD  
AD 3049 Cyber Security Incident Report CAT 5 (Scans, Probes, Attempted Access) WORD  
AD 3050 PII NON DISCLOSURE AGREEMENT PII WORD  
AD 3051 Acceptable Use Policy Agreement
User Acknowledgement of Responsibilities, Conduct, and Accountability for Mobile Computing
WORD  
AD 3052 Acknowledgement of Employee Rules of Behavior (ROB) for Government Furnished Mobile Devices WORD  
AD 3061 Container Examination Worksheet – Table IV- Metal Containers   FILL IN PDF
AD 3062 Container Examination Worksheet – Table V- Composite Containers   FILL IN PDF
AD 3063 Container Examination Worksheet – Table VI- Glass Containers   FILL IN PDF
AD 3064 Container Examination Worksheet – Table VII- Plastic Containers   FILL IN PDF
AD 3065 Container Examination Worksheet – Table IV- Rigid and Semi-Rigid Containers   FILL IN PDF
AD 3066 Container Examination Worksheet – Table IV- Flexible Containers   FILL IN PDF
AD 3070 Reemployment Priority List (RPL) Registration Sheet   PDF
AD 3072 Recruit Action Supplement Form   PDF
AD 3073 Senior Executive Service Probationary Period Certification   PDF
AD 3074 Request for Recruitment Action   PDF
AD 3075 Executive Resources Personnel Action Selection Request   PDF
AD 3100-A National Finance Center Agency Security Officer Designation Form   PDF
AD 3100-P National Finance Center Payroll Personnel Request for Security Access   PDF
AD 3100-R National Finance Center Reporting Center Request for Security Access Form   PDF
AD 3100-T National Finance Center Tribal Insurance Processing System (TIPS) Request for Security Access   PDF
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SF 1 Printing and Binding Requisition   GSA/PDF
SF 15 Application for 10 Point Veteran Preference   GSA/PDF
SF 18 Request for Quotation   GSA/PDF
SF 26 Award Contract   GSA/PDF
SF 28 Affidavit of Individual Surety   GSA/PDF
SF 30 Amendment of Solicitation Modification of Contract   GSA/PDF
SF 33 Solicitation, Offer and Award   GSA/PDF
SF 36 Solicitation, Offer and Award Continuation Sheet   GSA/PDF
SF 47 Physical Fitness Inquiry for Motor Vehicle Operators   GSA/PDF
SF 50 Notification of Personal Action   GSA/PDF
SF 71 Request for Leave Approved Absence   GSA/PDF
SF 78 Certificate of Medical Examination   GSA/PDF
SF 86 Questionnaires for National Security Positions   GSA/PDF
SF 86a Questionnaires for National Security Positions Continuation   GSA/PDF
SF 86c Standard Form 86 Certification   GSA/PDF
SF 100 Equal Employment Opportunity
Employer Information Report EEO-1
  GSA/PDF
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SF 115 Request for Records Disposition Authority   GSA/PDF
SF 115instr Instructions for Standard Form 115   GSA/PDF
SF 120 Report of Excess Personal Property   GSA/PDF
SF 120a Report of Excess Personal Property Continuation   GSA/PDF
SF 122 Transfer Order of Excess Personal Property   GSA/PDF
SF 126 Report of Personal Property For Sale   GSA/PDF
SF 126a Report of Personal Property For Sale-Continuation   GSA/PDF
SF 135 Records Transmittal and Receipt   GSA/PDF
SF 135instr Instructions for Standard Form 135   GSA/PDF
SF 153 Comsec Material Report   GSA/PDF
SF 182 Request, Authorization, Agreement and Certification of Training   GSA/PDF
SF 269 Financial Status Report (Long Form)   GSA/PDF
SF 269a Financial Status Report (Short Form)   GSA/PDF
SF 272 Federal Cash
Transaction Report
  GSA/PDF
SF 278 Executive Branch Public Financial Disclosure Report   GSA/PDF
SF 364 Report of Discrepancy (ROD)   GSA/PDF
SF 424 Application for Federal Assistance   GSA/PDF
SF 424a Budget Information
Non-Construction Programs
  GSA/PDF
SF 424b Assurances-
Non-Construction Programs
  GSA/PDF
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SF 1012 Travel Voucher   GSA/PDF
SF 1034 Public Voucher for Purchases other than Personal   GSA/PDF
SF 1035 Public Voucher for Purchases other than Personal - Continued   GSA/PDF
SF 1038 Advance of Funds Application and Account   GSA/PDF
SF 1103 Bill of Lading   GSA/PDF
SF 1113 Public Voucher for Transportation Charges   GSA/PDF
SF 1113a Public Voucher for Transportation Charges - Standard Size   GSA/PDF
SF 1164 Claim for Reimbursement for Expenditures   GSA/PDF
SF 1190 Foreign Allowances Application, Grant, Report   GSA/PDF
SF 1423 Inventory Verification Survey   GSA/PDF
SF 1424 Inventory Disposal Report   GSA/PDF
SF 2809 Health Benefits Registration Form   GSA/PDF
SF 3881 ACH Vendor/Miscellaneous Payment Enrollment Form OMB No.1510-0056   GSA/PDF
SF LLL Disclosure of Lobbying Activities   GSA/PDF
SF LLLa Disclosure of Lobbying Activities Continuation Sheet   GSA/PDF
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